Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol (Lopressor)?

Correct Answer: C

Rationale: The correct answer is C because a blood pressure of 90/54 mm Hg indicates hypotension, a known side effect of metoprolol. Metoprolol is a beta-blocker that can cause a decrease in blood pressure. Choices A and B are more indicative of anxiety or stress rather than a side effect of metoprolol. Choice D, a normal sinus rhythm on the heart monitor, is a desired outcome and not a side effect of metoprolol.

Correct Answer: D

Rationale: The correct answer is D: collaborate with other care providers. In home care, nurses need to work together with other care providers like physicians, therapists, and social workers to ensure comprehensive care for patients. Collaboration promotes effective communication, coordination, and delivery of services. Providing all care and services (choice A) is not feasible for one nurse. Maintaining a clean home environment (choice B) is important but not a core responsibility of nurses. Advising patients on financial matters (choice C) is typically outside the scope of nursing practice.

Correct Answer: B

Rationale: The correct answer is B: to provide care to patients capable of self-care at home. Ambulatory care facilities focus on providing medical services to patients who do not require overnight hospitalization and can manage their care at home. This includes services such as outpatient surgeries, diagnostic tests, treatments, and follow-up care. By choosing option B, it aligns with the primary goal of ambulatory care facilities, which is to offer convenient and cost-effective care to patients who can safely recover at home. Explanation of other choices: A: to save money by not paying hospital rates - Incorrect. While cost-effectiveness is a benefit of ambulatory care facilities, it is not the major goal. C: to perform major surgery in a community setting - Incorrect. Ambulatory care facilities typically focus on minor surgeries and procedures, not major surgeries. D: to perform tests prior to being admitted to the hospital - Incorrect. This goal is more related to pre-admission testing rather than the primary goal of ambulatory care

Correct Answer: C

Rationale: The nurse turning the patient every 2 hours is implementing the established plan of care. Implementation involves executing the planned interventions to promote patient outcomes. Turning the patient is a specific action based on the planned care to prevent pressure ulcers. Assessing (A) is the data collection phase, planning (B) involves setting goals and interventions, and evaluating (D) is the review of the effectiveness of the interventions. Therefore, the correct answer is C as it directly relates to carrying out the planned care.

Correct Answer: A

Rationale: The primary purpose of the patient record is communication. It serves as a tool for healthcare professionals to document and share vital information about a patient's health status, treatment plans, and progress. This facilitates effective communication among healthcare team members to ensure continuity of care. Advocacy, research, and education are important secondary purposes of patient records, but communication is fundamental for providing safe and quality healthcare.